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Sesame Care Review 2026

3.8 (11)
GLP-1 & Weight LossWomen's HRTSexual HealthHair lossSkin CareTRT & Men's HealthLongevity
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The verdict on Sesame Care

Sesame Care is different from a single-brand telehealth clinic. It operates a marketplace where patients can compare clinicians and upfront visit prices, while also offering subscriptions for needs such as weight management and menopause. Provider choice, broad appointment availability, and cash-pay access without an insurance requirement are its main practical advantages.

The $59 monthly headline for weight care reflects an annual subscription and does not include prescription medication. The program includes video care, messaging, and basic labs, while a selected drug may be paid through insurance or a separate cash pathway. Individual marketplace visits and local pharmacy prescriptions have their own prices, so users must avoid treating the subscription fee as an all-in treatment total.

Current product facts also correct several legacy therapy rows. Sesame says compounded semaglutide is not currently available and instead documents FDA-approved brand options. Tretinoin is a topical prescription, not an oral skin-care product. Online providers cannot prescribe controlled substances, which prevents the testosterone row from functioning as a standard telehealth offer, and no standardized NAD+ program was verified.

Pros and Cons

Pros

  • Patients can compare and choose among marketplace clinicians
  • Upfront cash-pay visit pricing is visible for many services
  • Ongoing weight and menopause programs include visits, messaging, and basic labs
  • Prescriptions can be routed to a preferred local or online pharmacy when appropriate

Cons

  • Subscription fees usually do not include medication
  • Care experience and visit price vary by selected clinician
  • Lowest weight-program rate requires an annual subscription
  • Legacy testosterone and NAD+ rows are not substantiated as active online programs

How Sesame Care's marketplace model works

Sesame lets patients compare independent clinicians and cash prices for individual visits, then offers recurring programs for weight management and menopause. The $59 monthly program rate buys ongoing care under the stated plan terms, not medication. Prescriptions, pharmacy charges, and possible insurance benefits remain separate financial layers.

Patients can choose a provider and, when a prescription is appropriate, route it to a preferred local or supported online pharmacy. Current pages document FDA-approved semaglutide brands, estradiol options, generic finasteride, generic tadalafil, and topical tretinoin. Sesame specifically says compounded semaglutide is not currently available.

Marketplace flexibility also creates uneven continuity, fulfillment timing, and total cost because those details depend on the selected clinician and pharmacy. Refund windows differ by service, and completed visits or current subscription periods are generally not prorated. Controlled substances cannot be prescribed online, and no standardized NAD+ program was verified.

  • The weight-management subscription starts at a $59 monthly equivalent on an annual plan, with medication separate.
  • Sesame currently documents FDA-approved semaglutide brands and says compounded semaglutide is unavailable.
  • Patients can choose their clinician and pharmacy route, so price and continuity vary by selection.

Pricing

20 / 25

Sesame publishes upfront prices for marketplace visits and advertises weight and menopause subscriptions from $59 per month. The weight rate requires an annual plan, and medication is separate. A patient's real total can include the visit or subscription, pharmacy charge, laboratory exceptions, and any insurance cost sharing.

Quality

15 / 20

Patients select a licensed clinician rather than receiving one standardized Sesame medical team. The clinician reviews history, determines whether treatment is appropriate, and can order tests or route a prescription. This supports choice but also means specialty, continuity, and follow-up practices can differ by provider and program.

Onboarding

14 / 15

Users search by service, compare provider availability and price, complete intake, and attend a virtual or in-person visit. Subscription programs add questionnaires and recurring care. Some pages advertise rapid appointments or prescriptions, but a booking never guarantees medication, and complex cases may require in-person evaluation.

Medication Options

13 / 15

Sesame documents prescription access for brand semaglutide products, estradiol, tadalafil, finasteride, and topical tretinoin, among many other medications. Compounded semaglutide is not currently offered. Controlled substances cannot be prescribed online, and no current standardized NAD+ program was verified.

Shipping & Fulfillment

8 / 10

Approved prescriptions can be sent to a preferred local pharmacy for pickup or, for supported products, to an online pharmacy for delivery. Sesame is not the dispensing pharmacy, so inventory, cash price, coverage, and shipment timing depend on the selected route. Medication charges are generally separate from care fees.

Customer Support

7 / 10

Sesame provides customer support for booking, subscription, and billing issues, while medical questions belong with the selected clinician. Refund windows depend on service type and timing. Subscription cancellation stops future renewal but generally does not create a prorated refund for the current term after services begin.

Usability & Experience

4 / 5

The marketplace makes it easy to compare clinicians, appointment times, ratings, and cash prices. Subscription programs then shift users into a more continuous care model. The main usability challenge is understanding which layer is being purchased: one visit, an ongoing care subscription, a prescription, or the medication itself.

Frequently Asked Questions

Sesame Care is a cash-pay healthcare marketplace and program platform. Patients can compare clinicians, book individual visits, or enroll in ongoing care subscriptions.

Sesame prices vary by selected clinician and service. Its weight-management and menopause programs advertise a $59 monthly entry rate, while medications and some other services are separate.

No, the subscription does not include the medication price. It covers ongoing clinical care, messaging, and basic labs, while the prescription is paid through insurance or a separate cash pathway.

No, Sesame's current semaglutide page says compounded semaglutide is not available. Clinicians can evaluate patients for FDA-approved brand options such as Wegovy, Ozempic, or Rybelsus when appropriate.

Sesame generally charges cash for its visits and subscriptions rather than billing insurance. A patient's insurance may still cover a prescribed medication or qualifying laboratory work, depending on the plan.

Yes, Sesame lets patients compare and select available clinicians. Price, specialty, appointment time, ratings, and continuity can vary by the provider chosen.

No, Sesame states that providers cannot prescribe controlled substances online. Testosterone cypionate is controlled, so any evaluation would require an appropriate non-telehealth pathway and compliance with applicable rules.

Yes, future subscription renewals can be canceled, and qualifying appointments can be refunded within service-specific notice windows. Completed visits and current subscription periods are generally not prorated or refunded.

Therapies offered & pricing comparison

GLP-1 & Weight Loss

Semaglutide brand options (Brand)

Pricing not listed

Monthly medication price benchmark · GLP-1 & weight-loss therapy · brand listings

2 providers. A distribution is not shown because fewer than 5 comparable peer providers are available.

Limited market data

We need at least 5 comparable peer providers before showing a price distribution. This offering remains visible without an invented market range.

2 providers

Type:
Injection or oral tablet, depending on the prescribed brand
Brand:
FDA-approved brand
Membership:
$59 monthly equivalent on the annual weight program; medication separate
Price/Dose:
Not listed
Dose Range:
Individualized by product, indication, and prescribing clinician
Labs Required:
Basic labs included when needed, subject to program and location terms

Notes:

Sesame currently lists brand products such as Wegovy, Ozempic, and Rybelsus and says compounded semaglutide is unavailable. Cash and insurance prices vary by product and eligibility.

Women's HRT

Estradiol (Brand)

Pricing not listed

Monthly medication price benchmark · Women's HRT therapy · brand listings

0 providers. A distribution is not shown because fewer than 5 comparable peer providers are available.

Limited market data

We need at least 5 comparable peer providers before showing a price distribution. This offering remains visible without an invented market range.

0 providers

Type:
Oral, patch, gel, cream, or other prescribed form
Brand:
Generic or brand prescription
Membership:
$59 per month menopause program; medication separate
Price/Dose:
Not listed
Dose Range:
Individualized by the prescribing clinician
Labs Required:
Basic labs included when clinically necessary; recent results may be reviewed

Notes:

The prior gel-only description was too narrow. The clinician determines whether hormone therapy and a particular route are appropriate, and the pharmacy charges separately for medication.

Sexual Health

Tadalafil (Generic)

Pricing not listed

Monthly medication price benchmark · Sexual-health therapy · all comparable listings

2 providers. A distribution is not shown because fewer than 5 comparable peer providers are available.

Limited market data

We need at least 5 comparable peer providers before showing a price distribution. This offering remains visible without an invented market range.

2 providers

Type:
Oral tablet
Brand:
Generic
Membership:
Marketplace visit or applicable program fee; medication separate
Price/Dose:
Not listed
Dose Range:
Individualized by the prescribing clinician
Labs Required:
Determined by the clinician

Notes:

A universal medication price was not verified. The prescription can be routed to a pharmacy if clinically appropriate, with pharmacy cost separate from the care fee.

Hair Loss

Finasteride (Generic)

Pricing not listed

Monthly medication price benchmark · Hair-loss therapy · all comparable listings

3 providers. A distribution is not shown because fewer than 5 comparable peer providers are available.

Limited market data

We need at least 5 comparable peer providers before showing a price distribution. This offering remains visible without an invented market range.

3 providers

Type:
Oral tablet
Brand:
Generic
Membership:
Marketplace visit fee; medication separate
Price/Dose:
Not listed
Dose Range:
Individualized by the prescribing clinician
Labs Required:
Determined by the clinician

Notes:

A universal medication price was not verified. The prescription can be routed to a pharmacy if clinically appropriate, with pharmacy cost separate from the visit.

Skin Care

Tretinoin (Generic)

Pricing not listed

Monthly medication price benchmark · Dermatology & skin-care therapy · all comparable listings

1 provider. A distribution is not shown because fewer than 5 comparable peer providers are available.

Limited market data

We need at least 5 comparable peer providers before showing a price distribution. This offering remains visible without an invented market range.

1 provider

Type:
Topical
Brand:
Generic
Membership:
Marketplace visit fee; medication separate
Price/Dose:
Not listed
Dose Range:
Individualized by formulation and prescribing clinician
Labs Required:
Determined by the clinician

Notes:

The legacy oral formulation label was unsupported and has been removed. A clinician determines whether topical tretinoin is appropriate and sends the prescription to a pharmacy.

TRT & Men's Health

Testosterone cypionate (Controlled prescription medication)

Pricing not listed

Monthly medication price benchmark · Testosterone & men's-health therapy · all comparable listings

3 providers. A distribution is not shown because fewer than 5 comparable peer providers are available.

Limited market data

We need at least 5 comparable peer providers before showing a price distribution. This offering remains visible without an invented market range.

3 providers

Type:
Injection, not available through standard online prescribing
Brand:
Controlled prescription medication
Membership:
Not listed
Price/Dose:
Not listed
Dose Range:
Not listed
Labs Required:
Clinical and laboratory evaluation would be required if treated through an eligible pathway

Notes:

Sesame states that its providers cannot prescribe controlled substances online. No standardized Sesame testosterone program, price, or dose was verified, and the prior placeholder dose was removed.

Longevity

NAD+ (Not listed)

Pricing not listed

Monthly medication price benchmark · Longevity & wellness therapy · all comparable listings

7 providers. Bar height shows how many peer providers fall within each monthly price range. Market prices run from $65 to $210, with a median of $99. $65 to $72: 1 provider; $72 to $80: 1 provider; $80 to $87: 0 providers; $87 to $94: 1 provider; $94 to $101: 1 provider; $101 to $109: 0 providers; $109 to $116: 0 providers; $116 to $123: 0 providers; $123 to $130: 0 providers; $130 to $138: 0 providers; $138 to $145: 1 provider; $145 to $152: 1 provider; $152 to $159: 0 providers; $159 to $167: 0 providers; $167 to $174: 0 providers; $174 to $181: 0 providers; $181 to $188: 0 providers; $188 to $196: 0 providers; $196 to $203: 0 providers; $203 to $210: 1 provider. No directly comparable therapy-level starting price is available for this provider.

Type:
Availability not publicly documented
Brand:
Not listed
Membership:
Not listed
Price/Dose:
Not listed
Dose Range:
Not listed
Labs Required:
Not listed

Notes:

No current Sesame-controlled public source was found for a standardized NAD+ treatment. Do not treat this record as an active offer without direct confirmation. The prior lab and dose placeholders were removed.

Bars show one lowest recorded monthly price per comparable provider. The reviewed provider is excluded, and each observation keeps its source timestamp.Learn about our methodology

The distribution uses the lowest positive monthly observation for each other active provider in the same therapy and brand-type group. Canonical medication variants now consolidate duplicate catalog names, and one provider is counted once even when it has several doses or plans.

Bar height shows how many other providers fall within each price range. The reviewed provider is excluded from those bars. The black line marks the provider-listed monthly price shown on the medication card when that price is numeric; otherwise it falls back to the provider's lowest comparable therapy-level price. Market low, median, and high are calculated from the peer-provider prices only.

This remains a therapy-level directional comparison and may include multiple medications and formulations. Some stored observations are medication-only prices while others are unitemized program totals. Use the medication-specific Prices page for itemized membership, labs, care, and shipping where those details are documented. The distribution is withheld when fewer than five peers have numeric observations.

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4.1 (11)
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4.3
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3.3
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4.3
Sort by
EP

Emily Park, Seattle, WA

Verified Review
Rated 5.0 out of 5 stars

Marketplace format surprised me

  • GLP-1 & Weight Loss
  • Semaglutide

Booking through Sesame felt like Priceline for doctors but it actually worked. I picked a GLP specialist with solid reviews and had a tele visit the next day. She uploaded a PDF dosing plan plus nutrition tips tied to my blood work from March. Compounded meds shipped from a partner pharmacy in two business days and arrived colder than my fridge. Follow-up messaging happens inside Sesame so I do not have to chase emails. Only snag is juggling different pharmacy portals when refills come up.

Pros

Fast provider matching, detailed dosing plan, quick shipping.

Cons

Refills happen through separate pharmacy portals.

16 people found this helpful
MC

Maya Chen, Seattle, WA

Verified Review
Rated 4.0 out of 5 stars

Quick virtual visit and clear plan

  • GLP-1 & Weight Loss
  • Semaglutide (Brand)

Booked a same-day visit and the clinician laid out a clear, step-by-step plan. Checkout was simple and I had the summary right after the call.

Pros

Same-day appointment, a clear plan, and an easy checkout.

Cons

One brief video lag.

14 people found this helpful
JP

Jamal P, Jacksonville, FL

Verified Review
Rated 3.0 out of 5 stars

Same-day booking worked, video froze briefly

  • GLP-1 & Weight Loss
  • Semaglutide (Brand)

Same-day booking worked and the plan made sense. The video froze briefly once. Intake took only a few minutes, and the clinician listened carefully, explained tradeoffs, and collaborated with me on a plan that fit my goals. After the visit I received a concise summary, clear next steps, and a realistic timeline for follow up. Messages in the portal answered a couple of small questions within a day. Aside from the brief freeze, the connection was stable and the process respected my time. Overall, it was a modern, efficient experience.

Pros

Same-day booking and a sensible plan.

Cons

Video froze briefly.

11 people found this helpful
OP

Oriana P, Jacksonville, FL

Verified Review
Rated 3.0 out of 5 stars

Convenient booking, video glitched once

  • GLP-1 & Weight Loss
  • Semaglutide (Brand)

Booking was convenient and pricing was transparent. The video glitched once but recovered quickly.

Pros

Convenient booking and transparent pricing.

Cons

Video glitched once during the visit.

7 people found this helpful
TH

Tori H, Buffalo, NY

Verified Review
Rated 4.0 out of 5 stars

Easy to book and payment matched the estimate

  • GLP-1 & Weight Loss
  • Semaglutide (Brand)

Booking was simple and the payment matched the estimate shown beforehand. I liked that I could download the notes and refer to them later.

Pros

Easy booking, accurate pricing, and downloadable notes.

Cons

Video quality dipped once.

6 people found this helpful
AV

Andre V., Chicago, IL

Verified Review
Rated 4.0 out of 5 stars

Great for one-off consult

  • GLP-1 & Weight Loss
  • Tirzepatide

Needed a second opinion on tirz nausea and booked a 20 minute slot on Sesame during lunch. Doc was blunt but kind and suggested timing electrolytes differently which actually worked.

Pros

Same-day availability, practical advice.

Cons

None mentioned

5 people found this helpful
VM

Vera M, Richmond, VA

Verified Review
Rated 4.0 out of 5 stars

Booked a same-day visit and felt heard throughout

  • GLP-1 & Weight Loss
  • Semaglutide (Brand)

I booked a same-day slot and the visit felt focused and efficient. The clinician listened and gave me a simple plan for the next few weeks. The summary arrived right after with links to resources. Payment matched what I saw upfront and there were no surprises. I would use it again.

Pros

Same-day availability, attentive clinician, and clear summary.

Cons

None mentioned

4 people found this helpful
RV

Rita V, Richmond, VA

Verified Review
Rated 4.0 out of 5 stars

Convenient weekend appointment slots

  • GLP-1 & Weight Loss
  • Semaglutide (Brand)

Booked a weekend slot which was a lifesaver. The visit was straightforward and pricing was consistent with what I saw upfront.

Pros

Convenient weekend slots, a straightforward visit, and transparent pricing.

Cons

Confirmation email was delayed.

4 people found this helpful
QL

Quincy L, Richmond, VA

Verified Review
Rated 3.0 out of 5 stars

Same-day visit was convenient, video glitch once

  • GLP-1 & Weight Loss
  • Semaglutide (Brand)

Booking a same-day visit was convenient and the plan made sense. The video glitched once but recovered quickly. The summary arrived right after and included links that were easy to read.

Pros

Convenient scheduling and clear summary.

Cons

Video glitched briefly during the call.

4 people found this helpful
WK

Wes K, Jacksonville, FL

Verified Review
Rated 4.0 out of 5 stars

Clear plan after the call with fair pricing

  • GLP-1 & Weight Loss
  • Semaglutide (Brand)

The visit was straightforward and the post-call summary spelled out next steps. Pricing was fair and matched what was shown before I booked. I liked that I could download the notes and keep them handy. The portal is minimal but it does what I need.

Pros

Fair pricing, downloadable notes, and minimal clutter.

Cons

Video quality dipped once during the call.

3 people found this helpful
BM

Ben M., Madison, WI

Verified Review
Rated 4.0 out of 5 stars

Derm plan helped texture, needed a tweak

  • Skin Care

I used Sesame for a skin care plan because my breakouts were getting stubborn. The provider took my photos seriously and didn't just tell me to 'wash more'. The prescription helped reduce new breakouts, but the first month my skin was pretty dry. When I messaged, they adjusted the plan and it became easier to tolerate. It isn't instant, but my texture looks better and inflammation is down. One star off because follow-up is a little DIY, you have to initiate it.

Pros

The prescription plan improved breakouts over time and adjustments were made when irritation came up.

Cons

Follow-up feels DIY and you sometimes have to initiate questions.

1 person found this helpful